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目的探讨腹腔镜治疗异位妊娠的临床价值。方法系统回顾分析新蔡县人民医院2004年1月至2009年5月接受腹腔镜手术的异位妊娠患者81例的临床资料。结果 81例异位妊娠患者行腹腔镜手术均成功,无一例开腹,其中51例均行输卵管切除术,30例行保守性手术,包括输卵管开窗取胚术及输卵管挤胚术。其中2例保守治疗手术后,持续性异位妊娠,于术后1周再次行输卵管切除术。结论腹腔镜手术是治疗异位妊娠的一种理想的手术方式。
Objective To investigate the clinical value of laparoscopic treatment of ectopic pregnancy. Methods The clinical data of 81 patients with ectopic pregnancy undergoing laparoscopic surgery from January 2004 to May 2009 in XinCaiXian People’s Hospital were retrospectively analyzed. Results 81 cases of ectopic pregnancy were successful laparoscopic surgery, no case of open laparotomy, of which 51 cases underwent tubal resection, 30 cases of conservative surgery, including the tubal window embryo removal and tubal embryo extrusion surgery. Two cases of conservative treatment of surgery, persistent ectopic pregnancy, again after 1 week of tubal resection. Conclusion Laparoscopic surgery is an ideal surgical treatment of ectopic pregnancy.